This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Using photodynamic therapy in conjunction with the intralesional instillation of -aminolevulinic acid, as reported by Fink-Puches and colleagues,¹ was certainly a novel and ultimately successful solution to the therapeutic challenge posed by a patient with a large superficial basal cell carcinoma who refused surgical intervention. What I found surprising, though, was that this case was felt to be particularly challenging since radiation therapy was an obvious nonsurgical alternative therapeutic option. As noted by Goldschmidt et al² in their recent comprehensive review of the use of ionizing radiation in dermatology, radiation therapy is an effective treatment for epithelial skin cancers, particularly for lesions measuring less than 5 cm in diameter. I believe that it is important to realize that although the treatment reported by Fink-Puches and colleagues may have been of interest because of its novelty and ultimate success, radiation therapy remains the established nonsurgical modality for the treatment of superficial . . . [Full Text of this Article]